Fri Jul 08 2022

34 articles - From Friday Jul 01 2022 to Friday Jul 08 2022

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Guidelines

Guidelines, position statements, white papers, technical reviews, consensus statements, etc…

Rheumatology (Oxford)

Management of foot health in people with inflammatory arthritis: British Society for Rheumatology guideline scope.

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Meta-analysis

meta-analyses and systematic reviews


Original articles

RCT, clinical trials, retrospective studies, etc…

Ann Rheum Dis

Efficacy and safety of upadacitinib for active ankylosing spondylitis refractory to biological therapy: a double-blind, randomised, placebo-controlled phase 3 trial.

Upadacitinib 15 mg was significantly more effective than placebo over 14 weeks of treatment in bDMARD-IR patients with active AS. No new safety risks were identified with upadacitinib.

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Keratinocyte-derived S100A9 modulates neutrophil infiltration and affects psoriasis-like skin and joint disease.

Keratinocyte-derived S100A9 plays a regulatory role in psoriatic skin and joint disease. In humans, S100A9/CP is a promising marker that could help in identifying patients with Ps at risk of developing PsA.

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Leflunomide versus azathioprine for maintenance therapy of lupus nephritis: a prospective, multicentre, randomised trial and long-term follow-up.

The efficacy and safety profile of leflunomide are non-inferior to azathioprine for maintenance therapy of LN. Leflunomide may provide a new candidate for maintenance therapy in patients with LN.

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Phase 3, multicentre, randomised, placebo-controlled study evaluating the efficacy and safety of ustekinumab in patients with systemic lupus erythematosus.

Ustekinumab did not demonstrate superiority over placebo in this population of adults with active SLE; adverse events were consistent with the known safety profile of ustekinumab.

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Risk of irAEs in patients with autoimmune diseases treated by immune checkpoint inhibitors for stage III or IV melanoma: results from a matched case-control study.

In our study, patients with pAID were at greater risk of all-grade, severe and multiple irAEs, yet had a better 24-month survival than controls. Thus, patients with pAID should be eligible for ICI therapy but benefit from a close monitoring for irAE occurrence, especially during the first months of therapy.

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Arthritis Care Res (Hoboken)

Cessation of immunomodulatory medication use in dermatomyositis: a single center cohort study.

Approximately 20% of adult DM patients discontinued immunomodulatory medications over a median 7-year follow-up. Those with clinically amyopathic disease, anti-MDA5, anti-NXP2, and anti-SAE1 antibodies have a higher likelihood of medication cessation.

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Does Higher Quality of Care in Systemic Lupus Erythematosus Improve Quality of Life?

High QOC at baseline or number of years with high QOC were not associated with MCID improvement in SF 36 scores and non-routine HCU on follow up. High QOC, as determined by currently defined criteria, served as a surrogate of greater disease activity, morbidity and non-routine HCU.

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The reporting of determinants of health inequities in rheumatoid arthritis randomized controlled trials in Canada: A scoping review.

This scoping review suggests limited reporting on determinants of health inequities in RCTs for RA in Canada. Establishing reporting standards for equity factors in RCTs is important for addressing health inequities and informing accessible research and care for patients with RA.

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Arthritis Res Ther

Clinical predictors of response to methotrexate in patients with rheumatoid arthritis: a machine learning approach using clinical trial data.

We have developed and externally validated a prediction model for response to methotrexate within 24 weeks in DMARD-naïve patients with RA, providing variably weighted clinical features and defined cutoffs for clinical decision-making.

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Distinctive gut microbiomes of ankylosing spondylitis and inflammatory bowel disease patients suggest differing roles in pathogenesis and correlate with disease activity.

In conclusion, the distinct gut microbiome of AS and AS-IBD patients compared to IBD patients and healthy controls is consistent with immunological and genetic evidence suggesting that the gut plays a different role in driving AS compared with IBD. However, enrichment of two potentially pathogenic genera in both diseases suggests that the presence of a shared/common microbial trigger of disease cannot be discounted.

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Efficacy and safety of the biosimilar denosumab candidate (Arylia) compared to the reference product (Prolia®) in postmenopausal osteoporosis: a phase III, randomized, two-armed, double-blind, parallel, active-controlled, and noninferiority clinical trial.

The efficacy of the biosimilar denosumab was shown to be noninferior to that of the reference denosumab, with a comparable safety profile at 18 months.

Pubmed   Journal   ReadQx   PMC

Arthritis Rheumatol

Association of 18F-Fluorodeoxyglucose Positron Emission Tomography and Angiographic Progression of Disease in Large-Vessel Vasculitis.

Development of angiographic change was infrequent in this cohort of patients with LVV. Lack of PET activity was strongly associated with stable angiographic disease. In cases of angiographic progression, change was preceded by the presence of FDG-PET activity.

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Breakthrough SARS-CoV-2 infections in immune mediated disease patients undergoing B cell depleting therapy: A retrospective cohort analysis.

IMIDs patients on BCDT regardless of vaccine status appear vulnerable to infection with SARS-CoV-2 and are frequently associated with severe outcomes. Outpatient use of anti-SARS-CoV-2 monoclonal antibody therapy appeared to be associated with enhanced clinical outcomes.

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Contribution of microRNA-27b-3p to synovial fibrotic responses in knee osteoarthritis.

This study demonstrates a key role of miR-27b-3p in ECM regulation associated with synovial fibrosis during OA.

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Modulation of the itaconate pathway attenuates murine lupus.

These results support targeting immunometabolism as a potentially viable approach in autoimmune diseases treatment, with 4-OI displaying beneficial roles attenuating immune dysregulation and organ damage in lupus.

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Superiority of low-dose benzbromarone to low-dose febuxostat in a prospective, randomized comparative effectiveness trial in gout patients with renal uric acid underexcretion.

Compared to LDFeb, LDBen had superior urate-lowering and similar safety in the relatively young and healthy patients with gout of renal uric acid underexcretion type.

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Rheumatology (Oxford)

Anti-CD74 IgA antibodies show diagnostic potential for axial spondyloarthritis but are not associated with microscopic gut inflammation.

Serum anti-CD74 IgA is a potentially useful diagnostic biomarker for axSpA. However, antibody levels do not correlate with any phenotypical feature, including microscopic gut inflammation, suggesting this to be a disease-specific rather than an inflammatory marker.

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Disease-specific expansion of CD29+IL-17RA+ T effector cells possessing multiple signaling pathways in spondyloarthritis.

CD29+IL-17RA+ T effector cells with enhanced Syk, NF-B, and JAK-STAT pathways was specifically increased in SpA and was correlated with disease activity, implicating a role of this newly identified T cell population in the pathogenesis. Anti-IL-17 monoclonal antibodies may be effective for patients by reducing this pathogenic T cell population.

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Effect of bimekizumab on symptoms and impact of disease in patients with psoriatic arthritis over 3 years: results from BE ACTIVE.

Bimekizumab treatment was associated with long-term sustained improvements in pain and fatigue, reducing overall impact of PsA on patients. Physical function and quality of life improved up to 3years.

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IL-17A and TNF synergistically drive expression of proinflammatory mediators in synovial fibroblasts via IB-dependent induction of ELF3.

Altogether, our results establish ELF3 as an important mediator of the synergistic effect of IL-17A and TNF in synovial fibroblasts. The findings provide novel information of the pathogenic mechanisms of IL-17A in chronic arthritis and implicate ELF3 as potential therapeutic target.

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Immunogenicity 6 months post COVID-19 mRNA-vaccination among adolescents with juvenile idiopathic arthritis on treatment with TNF-inhibitors.

Although mRNA vaccines develop satisfactory immunogenicity at 1- and 3-months post-vaccination in adolescents with JIA on TNFi, SARS-CoV-2 antibody titers decrease significantly overtime, remaining at lower levels at 6months. Further collaborative studies are required to determine long-term immunogenicity, real duration of immune protection and the need for a booster vaccine dose.

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Inhibition of calcium/calmodulin-dependent protein kinase IV in arthritis: Dual effect on Th17 cell activation and osteoclastogenesis.

Using global and CD4-cell-targeted pharmacologic approaches and conditionally deficient mice, we demonstrate that CaMK4 is important in the development of arthritis. Using ex vivo cell cultures from patients with RA, CaMK4 is important for both Th17 generation and osteoclastogenesis. We propose that CaMK4 inhibition represents a new approach to control the development of arthritis.

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Long-term cardiovascular outcomes and temporal trends in patients diagnosed with ANCA-associated vasculitis: a Danish nationwide registry study.

Patients with AAV are at increased risk of heart failure, atrial-/ventricular arrhythmias, venous thrombotic events, ischemic stroke and myocardial infarction. Furthermore, patients with AAV were more frequently examined with coronary procedures and underwent more coronary revascularizations. No temporal changes in ischemic cardiovascular outcomes were observed, albeit the cardiovascular mortality has decreased over time.

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Reviews&Editorials

Plenty of the editorials are available as full text through the publisher website using the provided link


Letters&Replies

Letters to the editors and authors’ replies

Arthritis Rheumatol

Duloxetine and Osteoarthritis: There is a herd of elephant in the room.

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Response to the study by van den Driest, et al published in Arthritis and Rheumatology.

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Others

all remaining publications eg case reports, images of the month, etc…

Ann Rheum Dis

Livedo racemosa and thrombotic vasculitides of scalp in systemic lupus erythematosus.

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Serum urate outcomes of treat-to-target urate lowering treatment: results of a nationwide cohort study from 1997 to the COVID-19 pandemic using data from the Clinical Practice Research Datalink.

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Rheumatology (Oxford)

Cholinergic dysautonomia in a patient with systemic lupus erythematosus.

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Comment on: Survival and associated comorbidities in inclusion body myositis.

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Comment on: Survival and associated comorbidities in inclusion body myositis: Reply.

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Health inequalities across patients with early inflammatory arthritis of different ethnicities: what could be the driving factors?

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Rheumatology research in the post-COVID era-challenges and solutions.

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Upadacitinib response rates in patients with psoriatic arthritis enrolled in the SELECT-PsA-1 and SELECT-PsA-2 trials assessed according to modified PsARC.

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